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Estratégias para a prevenção de complicações do posicionamento cirúrgico na abordagem ao cliente submetido a cirurgia bariátrica: Projeto de Desenvolvimento de Competências Clínicas Especializadas em Enfermagem Médico-Cirúrgica, na área da Enfermagem à Pessoa em Situação Perioperatória
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Este relatório foi produzido como parte integrante do Estágio de Natureza Profissional, inserido
no currículo do Mestrado em Enfermagem Médico-cirúrgica em Enfermagem à Pessoa em
Situação Perioperatória na Escola Superior de Enfermagem do Porto, durante o ano letivo
2023/2024. O objetivo deste documento é descrever, analisar e refletir criticamente, atividades
realizadas durante o estágio clínico e o seu impacto no desenvolvimento pessoal e profissional.
Especificamente, visa avaliar o desenvolvimento e aquisição das competências de enfermagem
especializada, tanto nas áreas comuns do Enfermeiro Especialista quanto nas áreas
especializadas em Enfermagem à Pessoa em Situação Perioperatória, incluindo a prática clínica,
ética e legal, prestação e gestão de cuidados, bem como a pesquisa. O estágio decorreu no
Bloco Operatório Central e Unidade de Cirurgia de Ambulatório de um hospital na região norte,
proporcionando uma oportunidade de aprofundar competências clínicas relevantes e partilhar
experiências em um ambiente de aprendizagem contínua. Durante este período, procurou-se
maximizar as experiências clínicas para promover o desenvolvimento de aprendizagens
profissionais diversificadas.
No estágio de natureza profissional foi desenvolvido um projeto individual, focado na prevenção
de complicações decorrentes do posicionamento cirúrgico na cirurgia bariátrica. Este projeto
envolveu a identificação das necessidades dos clientes e a implementação de estratégias para
otimizar o posicionamento e reduzir o risco de complicações. Foram feitos ajustes na posição e
angulação dos membros e na densidade do material de apoio, adaptando cada posição às
características anatómicas individuais. Foram também, realizadas intervenções específicas para
reduzir o risco de complicações durante o posicionamento cirúrgico, incluindo o uso adicional de
materiais e dispositivos de suporte e proteção das proeminências ósseas. Durante o estágio, foi
utilizada a escala ELPO-PT, para avaliar o risco associado a cada posicionamento cirúrgico. A
utilização desta ferramenta de apoio à decisão permitiu identificar clientes com maior risco de
complicações nesta cirurgia e planear intervenções adequadas para reduzir esse risco. Além
disso, foi adquirida experiência na seleção de materiais e equipamentos cirúrgicos adequados
para cada caso específico. Este projeto, contribuiu para uma abordagem mais segura e eficaz ao
posicionamento cirúrgico em cirurgia bariátrica, visando a prevenção de complicações e a
promoção de melhores resultados para os clientes em situação perioperatória.
His report was produced as part of the Professional Nature Internship, integrated into the curriculum of the Master’s Degree in Medical-Surgical Nursing in Perioperative Nursing at the Porto Nursing School, during the academic year 2023/2024. The purpose of this document is to describe, analyze, and critically reflect on activities carried out during the clinical internship and their impact on personal and professional development. Specifically, it aims to assess the development and acquisition of specialized nursing skills, both in the common areas of the Specialist Nurse and in those specialized in Perioperative Nursing, including clinical practice, ethics and legality, care provision and management, as well as research. The internship took place in the Central Operating Room and Ambulatory Surgery Unit of a hospital in the northern region, providing an opportunity to deepen relevant clinical skills and share experiences in a continuous learning environment. During this period, efforts were made to maximize clinical experiences to promote diversified professional learning. During the professional internship, an individual project was developed, focused on the prevention of complications resulting from surgical positioning in bariatric surgery. This project involved identifying client needs and implementing strategies to optimize positioning and reduce the risk of complications. Adjustments were made to the position and angle of the limbs and the density of support material, adapting each position to individual anatomical characteristics. Specific interventions were also performed to reduce the risk of complications during surgical positioning, including the additional use of materials and devices to support and protect bony prominences. During the internship, the ELPO-PT scale was used to assess the risk associated with each surgical positioning. The use of this decision support tool allowed for the identification of clients at higher risk of complications in this surgery and the planning of appropriate interventions to reduce this risk. Additionally, experience was gained in selecting appropriate surgical materials and equipment for each specific case. This project contributed to a safer and more effective approach to surgical positioning in bariatric surgery, aiming to prevent complications and promote better outcomes for clients in perioperative situations.
His report was produced as part of the Professional Nature Internship, integrated into the curriculum of the Master’s Degree in Medical-Surgical Nursing in Perioperative Nursing at the Porto Nursing School, during the academic year 2023/2024. The purpose of this document is to describe, analyze, and critically reflect on activities carried out during the clinical internship and their impact on personal and professional development. Specifically, it aims to assess the development and acquisition of specialized nursing skills, both in the common areas of the Specialist Nurse and in those specialized in Perioperative Nursing, including clinical practice, ethics and legality, care provision and management, as well as research. The internship took place in the Central Operating Room and Ambulatory Surgery Unit of a hospital in the northern region, providing an opportunity to deepen relevant clinical skills and share experiences in a continuous learning environment. During this period, efforts were made to maximize clinical experiences to promote diversified professional learning. During the professional internship, an individual project was developed, focused on the prevention of complications resulting from surgical positioning in bariatric surgery. This project involved identifying client needs and implementing strategies to optimize positioning and reduce the risk of complications. Adjustments were made to the position and angle of the limbs and the density of support material, adapting each position to individual anatomical characteristics. Specific interventions were also performed to reduce the risk of complications during surgical positioning, including the additional use of materials and devices to support and protect bony prominences. During the internship, the ELPO-PT scale was used to assess the risk associated with each surgical positioning. The use of this decision support tool allowed for the identification of clients at higher risk of complications in this surgery and the planning of appropriate interventions to reduce this risk. Additionally, experience was gained in selecting appropriate surgical materials and equipment for each specific case. This project contributed to a safer and more effective approach to surgical positioning in bariatric surgery, aiming to prevent complications and promote better outcomes for clients in perioperative situations.
Descrição
Palavras-chave
Enfermagem Perioperatória Cuidados no Posicionamento da Cirurgia Bariátrica Estratégias de Prevenção Complicações no Posicionamento Relatório de estágio